Abstract：
OBJECTIVE: Dietitians have a central role in eating disorder (ED) treatment, however few studies exist investigating therapeutic aspects of dietetic care and factors influencing the dietitian-patient relationship. To address the gap, this study aimed to use a qualitative description approach to explore the experiences of delivering and receiving dietetic care in ED treatment in the UK.
METHODS: Semi-structured interviews were conducted with 6 specialist ED dietitians and focus groups with 11 recovered ED patients. Interviews were transcribed and inductive thematic analysis was performed to identify key themes describing the data.
RESULTS: Six key themes were generated: (1) Building trust, (2) Appropriate timing, (3) Adapting, (4) Dietitians as experts, (5) Boundaries, and (6) Difficult relationships. Participants highlighted the importance of building trust and considering nutritional risk and readiness in treatment approach. Patients expressed a desire for dietitians to have experience in EDs, facilitating understanding of their illness. However, dietitians identified the nature of EDs making their role challenging at times.
CONCLUSIONS: This study described various factors affecting dietetic care in EDs and provided a valuable insight into patients\' perceptions of treatment. The findings support advancements in ED dietitians\' knowledge and understanding, helping to enhance quality of care.
METHODS: Semi-structured interviews were conducted with 6 specialist ED dietitians and focus groups with 11 recovered ED patients. Interviews were transcribed and inductive thematic analysis was performed to identify key themes describing the data.
RESULTS: Six key themes were generated: (1) Building trust, (2) Appropriate timing, (3) Adapting, (4) Dietitians as experts, (5) Boundaries, and (6) Difficult relationships. Participants highlighted the importance of building trust and considering nutritional risk and readiness in treatment approach. Patients expressed a desire for dietitians to have experience in EDs, facilitating understanding of their illness. However, dietitians identified the nature of EDs making their role challenging at times.
CONCLUSIONS: This study described various factors affecting dietetic care in EDs and provided a valuable insight into patients\' perceptions of treatment. The findings support advancements in ED dietitians\' knowledge and understanding, helping to enhance quality of care.
摘要：
目的：营养师在饮食失调（ED）治疗中起着核心作用，然而，很少有研究调查饮食护理的治疗方面和影响营养师与患者关系的因素。为了弥补差距，本研究旨在采用定性描述方法,探讨英国在ED治疗中提供和接受饮食护理的经验.
方法：对6名专科ED营养师和11名康复ED患者的焦点小组进行了半结构化访谈。对访谈进行转录，并进行归纳主题分析，以确定描述数据的关键主题。
结果：产生了六个关键主题：（1）建立信任，（2）适当的时机，(3)适应,（4）营养师作为专家，（5）边界，（6）困难的关系。与会者强调了建立信任和考虑营养风险和治疗方法准备的重要性。患者表示希望营养师有ED经验，帮助了解他们的病情。然而,营养师确定了ED的性质，使其角色有时具有挑战性。
结论：这项研究描述了影响ED患者饮食护理的各种因素，并为患者对治疗的看法提供了有价值的见解。这些发现支持ED营养师知识和理解的进步，有助于提高护理质量。
方法：对6名专科ED营养师和11名康复ED患者的焦点小组进行了半结构化访谈。对访谈进行转录，并进行归纳主题分析，以确定描述数据的关键主题。
结果：产生了六个关键主题：（1）建立信任，（2）适当的时机，(3)适应,（4）营养师作为专家，（5）边界，（6）困难的关系。与会者强调了建立信任和考虑营养风险和治疗方法准备的重要性。患者表示希望营养师有ED经验，帮助了解他们的病情。然而,营养师确定了ED的性质，使其角色有时具有挑战性。
结论：这项研究描述了影响ED患者饮食护理的各种因素，并为患者对治疗的看法提供了有价值的见解。这些发现支持ED营养师知识和理解的进步，有助于提高护理质量。
